Adopter's Name *

First Name

Last Name

Birthdate *

MM

DD

YYYY

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Cell Phone *

(###)

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Home Phone

(###)

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I AGREE TO NEVER CONTACT BARC CT VOLUNTEER'S ON THEIR PERSONAL PHONE NUMBER OR EMAIL. BARC CT AND VOLUNTEERS HAVE ZERO INVOLVEMENT IN THIS ADOPTION OTHER THAN CONNECTING TWO PARTIES FOR THE SAKE OF POSSIBLE PRIVATE ADOPTION. I AGREE TO NEVER ATTEMPT TO HOLD BARC CT RESPONSIBLE FOR MY PRIVATE/OWNER-TO-OWNER ADOPTION. *

Yes

No

I FULLY UNDERSTAND I AM ADOPTING A PET DIRECTLY FROM IT'S OWNER, BARC CT IS NOT RESPONSIBLE OR INVOLVED IN THIS ADOPTION. BARC CT AND THIER VOLUNTEERS ARE SIMPLY CONNECTING TWO PARTIES IN AN EFFORT TO HELP THE OWNER FIND A SAFE FOREVER HOME FOR A DOG. *

Yes

No

I understand and agree to take my new dog to a vet and provide him or her with all necessary veterinary care throughout his or her life. I also agree I am willing and able to hire a professional trainer if I notice after DECOMPRESSION my dog is still having a hard time adjusting or displaying unwanted behaviors. I agree to enlist the help of a qualified professional should an issue arise with my adopted dog. I understand that dogs need to be shaped and molded, and I am committed to working through any perceived 'issue' or event throughout the course of my dog's life. *

Yes

No

I understand that the dog's prior history may not be known and that this dog may have been neglected, mistreated, or abused and that special care or precautions may be required. THIS INCLUDES 2-4 WEEKS OF DECOMPRESSION, CRATING, VETERINARY CARE AND PROFESSIONAL TRAINING. *

Yes

No

I ACKNOWLEDGE I AM ADOPTING A DOG OR PET DIRECTLY FROM THE DOG'S OWNER OR CAREGIVER. I AM NOT ADOPTING THROUGH A RESCUE ORGANIZATION. I ACKNOWLEDGE I DO NOT KNOW IF ANY DESCRIPTION ABOUT THE DOG IS TRUE OR ACCURATE. I ACCEPT THERE IS NO RECOURSE IF MY OWNER-TO-OWNER ADOPTION FAILS FOR ANY REASON. *

Yes

No

I agree to FOLLOW 2-4 WEEKS OF CRATED DECOMPRESSION and then carefully introduce the new dog to the existing pets. Coming to a new home is stressful for the new dog and your existing animals. The careful introduction is a must. Your new dog needs time and space to adjust to the surroundings, and your current animals need to feel they are not being replaced or crowded. *

Yes

No

I agree I will never leave my child alone and unsupervised with the dog as I realize that one mistake on my part can result in injury or harm. I FULLY ACKNOWLEDGE BARC CT IS ADAMANT THAT DOGS SHOULD NOT BE SHARING A HOME WITH KIDS. However, this is a private adoption and BARC CT has zero involvement. I am choosing to adopt a dog that I do not know from a person I do not know and I ACCEPT 100% RESPONSIBILITY for the outcome. *

Yes

No

Date of signature *

MM

DD

YYYY